Abstract
Cardiovascular diseases are the leading cause of death worldwide including various complications like atherosclerosis, myocardial infarction, diabetic cardiomyopathy, cardiac hypertrophy and cardiac fibrosis. Looking into the limitations and side effects of interventional and non-interventional treatment strategies, liver X receptors (LXRs) can be the novel targets as treatment strategy for cardiac complication. Nuclear receptors like liver X receptors (LXRs) are known to regulate various physiological functions like cholesterol and carbohydrate metabolism, energy expenditure and inflammation. Cholesterol derivatives, oxysterols were the first endogenous ligand found to activate LXRs whereas T0901317 and GW3965 were the potential synthetic LXR agonist reported. Various evidences have suggested that LXR may exert their beneficial role in heart disease. We reviewed recent data that shows a direct role of LXR agonist in various cardiovascular diseases like atherosclerosis, myocardial infarction, diabetic cardiomyopathy, cardiac hypertrophy, fibrosis. These accumulating evidences support that LXRs may represent a novel potential therapeutic target for various cardiovascular diseases.
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References
https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). Accessed 25 Nov 2019
https://healthmetrics.heart.org/wp-content/uploads/2019/02/At-A-Glance-Heart-Disease-and-Stroke-Statistics-–-2019.pdf. Accessed 27 Nov 2019
https://www.escardio.org/static_file/Escardio/About%20the%20ESC/Annual-Reports/ESC-Annual-Report-2019.pdf. Accessed 1 Dec 2019
Huffman MD, Bhatnagar D (2012) Novel treatments for cardiovascular disease prevention. Cardiovasc Ther 30:257–263
https://www.fda.gov/consumers/free-publications-women/high-blood-pressure-medicines-help-you. Accessed 1 Dec 2019
Golomb BA, Evans MA (2008) Statin adverse effects. Am J Cardiovasc Drugs 8:373–418
Weinberger J (2005) Adverse effects and drug interactions of antithrombotic agents used in prevention of ischaemic stroke. Drugs 65:461–471
https://www.nhlbi.nih.gov/health-topics/heart-surgery. Accessed 1 Dec 2019
Raghunathan S, Patel BM (2013) Therapeutic implications of small interfering RNA in cardiovascular diseases. Fundam Clin Pharmacol 27:1–20
Rawal H, Patel BM (2018) Opioids in cardiovascular disease: therapeutic options. J Cardiovas Pharmacol Ther 23:279–291
Patel BM, Mehta AA (2012) Aldosterone and angiotensin: role in diabetes and cardiovascular diseases. Eur J Pharmacol 697:1–2
Huang P, Chandra V, Rastinejad F (2010) Structural overview of the nuclear receptor superfamily: insights into physiology and therapeutics. Annu Rev Physiol 72:247–272
Apfel R, Benbrook D, Lernhardt E, Ortiz MA, Salbert G, Pfahl M (1994) A novel orphan receptor specific for a subset of thyroid hormone-responsive elements and its interaction with the retinoid/thyroid hormone receptor subfamily. Mol Cell Biol 14:7025–7035
Willy PJ, Umesono K, Ong ES, Evans RM, Heyman RA, Mangelsdorf DJ (1995) LXR, a nuclear receptor that defines a distinct retinoid response pathway. Genes Dev 9:1033–1045
Janowski BA, Willy PJ, Devi TR et al (1996) An oxysterol signalling pathway mediated by the nuclear receptor LXRα. Nature 383:728–731
Kick EK, Busch BB, Martin R, Stevens WC, Bollu V et al (2016) Discovery of Highly Potent Liver X Receptor β Agonists. ACS Medi Chem Lett 7:1207–1212
Repa JJ, Liang G, Ou J, Bashmakov Y, Lobaccaro JM et al (2000) Regulation of mouse sterol regulatory element-binding protein-1c gene (SREBP-1c) by oxysterol receptors, LXRα and LXRβ. Genes Dev 14:2819–2830
Wójcicka G, Jamroz-Wiśniewska A, Horoszewicz K, Bełtowski J (2007) Liver X receptors (LXRs). Part I: structure, function, regulation of activity, and role in lipid metabolism. Postepy Hig Med Dosw (Online) 61:736–759
Zhang Z, Chen H, Chen Z, Ding P, Ju Y et al (2019) Identify liver X receptor β modulator building blocks by developing a fluorescence polarization-based competition assay. Eur J Med Chem 178:458–467
Jakobsson T, Treuter E, Gustafsson JÅ, Steffensen KR (2012) Liver X receptor biology and pharmacology: new pathways, challenges and opportunities. Trends Pharmacol Sci 33:394–404
Tontonoz P, Mangelsdorf DJ (2003) Liver X receptor signaling pathways in cardiovascular disease. Mol Endocrinol 17:985–993
Ju X, Huang P, Chen M, Wang Q (2017) Liver X receptors as potential targets for cancer therapeutics. Oncol Lett 14:7676–7680
Steffensen KR, Jakobsson T, Gustafsson JÅ (2013) Targeting liver X receptors in inflammation. Expert Opin Ther Targ 17:977–990
Sandoval-Hernandez AG, Buitrago L, Moreno H, Cardona-Gómez GP, Arboleda G (2015) Role of liver X receptor in AD pathophysiology. PLoS ONE 10:e0145467
Ouedraogo ZG, Fouache A, Trousson A, Baron S, Lobaccaro JM (2017) Role of the liver X receptors in skin physiology: putative pharmacological targets in human diseases. Chem Phys Lipid 207:59–68
Cao G, Liang Y, Broderick CL, Oldham BA, Beyer TP et al (2003) Antidiabetic action of a liver x receptor agonist mediated by inhibition of hepatic gluconeogenesis. J Biol Chem 278:1131–1136
Tobin KA, Ulven SM, Schuster GU, Steineger HH, Andresen SM et al (2002) Liver X receptors as insulin-mediating factors in fatty acid and cholesterol biosynthesis. J Biol Chem 277:10691–10697
He Q, Pu J, Yuan A, Lau WB, Gao E et al (2014) Activation of liver-X-receptor α but not liver-X-receptor β protects against myocardial ischemia/reperfusion injury. Circul Heart Fai 7:1032–1041
Ni M, Zhang B, Zhao J, Feng Q, Peng J et al (2019) Biological mechanisms and related natural modulators of liver X receptor in nonalcoholic fatty liver disease. Biomed Pharmacother 113:108778
Färnegårdh M, Bonn T, Sun S, Ljunggren J, Ahola H et al (2003) The three-dimensional structure of the liver X receptor β reveals a flexible ligand-binding pocket that can accommodate fundamentally different ligands. J Biol Chem 278:38821–38828
Zelcer N, Tontonoz P (2006) Liver X receptors as integrators of metabolic and inflammatory signaling. J Clin Investig 116:607–614
Calkin AC, Tontonoz P (2012) Transcriptional integration of metabolism by the nuclear sterol-activated receptors LXR and FXR. Nat Rev Mol Cell Biol 13:213
Steffensen KR, Gustafsson JÅ (2004) Putative metabolic effects of the liver X receptor (LXR). Diabetes 53:S36–S42
Peet DJ, Turley SD, Ma W, Janowski BA, Lobaccaro JM, Hammer RE, Mangelsdorf DJ (1998) Cholesterol and bile acid metabolism are impaired in mice lacking the nuclear oxysterol receptor LXRα. Cell 93:693–704
Alberti S, Schuster G, Parini P, Feltkamp D, Diczfalusy U et al (2001) Hepatic cholesterol metabolism and resistance to dietary cholesterol in LXRβ-deficient mice. J Clin Investig 107:565–573
Yasuda T, Grillot D, Billheimer JT, Briand F, Delerive P et al (2010) Tissue-specific liver X receptor activation promotes macrophage reverse cholesterol transport in vivo. Arterioscler Thromb Vasc Biol 30:781–786
Schultz JR, Tu H, Luk A, Repa JJ, Medina JC, Li L, Schwendner S, Wang S, Thoolen M, Mangelsdorf DJ, Lustig KD (2000) Role of LXRs in control of lipogenesis. Genes Dev 14:2831–2838
Delvecchio CJ, Bilan P, Nair P, Capone JP (2008) LXR-induced reverse cholesterol transport in human airway smooth muscle is mediated exclusively by ABCA1. Am J Physiol-Lung Cell Mole Physiol 295:L949–L957
Stenson BM, Ryden M, Steffensen KR, Wåhlén K, Pettersson AT et al (2009) Activation of liver X receptor regulates substrate oxidation in white adipocytes. Endocrinology 150:4104–4113
Gabbi C, Warner M, Gustafsson JA (2009) Minireview: liver X receptor β: emerging roles in physiology and diseases. Mol Endocrinol 23:129–136
Korach-André M, Archer A, Barros RP et al (2011) Both liver-X receptor (LXR) isoforms control energy expenditure by regulating brown adipose tissue activity. Proc Natl Acad Sci 108:403–408
Wang YY, Dahle MK, Steffensen KR et al (2009) Liver X receptor agonist GW3965 dose-dependently regulates lps-mediated liver injury and modulates posttranscriptional TNF-α production and p38 mitogen-activated protein kinase activation in liver macrophages. Shock 32:548–553
Ogawa S, Lozach J, Benner C et al (2005) Molecular determinants of crosstalk between nuclear receptors and toll-like receptors. Cell 122:707–721
Schulman IG (2017) Liver X receptors link lipid metabolism and inflammation. FEBS Lett 591:2978–2991
https://www.who.int/gho/ncd/risk_factors/cholesterol_text/en/. Accessed 1 Dec 2019
Jamkhande PG, Chandak PG, Dhawale SC et al (2014) Therapeutic approaches to drug targets in atherosclerosis. Saudi Pharma J 22:179–190
Pott J, Schlegel V, Teren A et al (2018) Genetic regulation of PCSK9 (proprotein convertase subtilisin/kexin type 9) plasma levels and its impact on atherosclerotic vascular disease phenotypes. Circul Geno Precis Medi 11:e001992
Jackson AO, Regine MA, Subrata C, Long S (2018) Molecular mechanisms and genetic regulation in atherosclerosis. IJC Heart Vascul 21:36–44
Terasaka N, Hiroshima A, Koieyama T et al (2003) T-0901317, a synthetic liver X receptor ligand, inhibits development of atherosclerosis in LDL receptor-deficient mice. FEBS Lett 536:6–11
Vucic E, Calcagno C, Dickson SD et al (2012) Regression of inflammation in atherosclerosis by the LXR agonist R211945: a noninvasive assessment and comparison with atorvastatin. JACC Cardiovasc Imag 5:819–828
Cha JY, Repa JJ (2007) The liver X receptor (LXR) and hepatic lipogenesis the carbohydrate-response element-binding protein is a target gene of LXR. J Biol Chem 282:743–751
Gungor B, Vanharanta L, Hölttä-Vuori M et al (2019) HSP70 induces liver X receptor pathway activation and cholesterol reduction in vitro and in vivo. Molecul Metabol 28:135–143
Li SS, Cao H, Shen DZ et al (2019) Effect of quercetin on atherosclerosis based on expressions of ABCA1, LXR-α and PCSK9 in ApoE-/-mice. Chin J Integrat Med 30:1–8
Levin N, Bischoff ED, Daige CL et al (2005) Macrophage liver X receptor is required for antiatherogenic activity of LXR agonists. Arterioscler Thromb Vasc Biol 25:135–142
Verschuren L, de Vries-van der Weij J, Zadelaar S, et al (2009) LXR agonist suppresses atherosclerotic lesion growth and promotes lesion regression in apoE* 3Leiden mice: time course and mechanisms. J Lipid Res 50:301–311
https://www.who.int/cardiovascular_diseases/priorities/secondary_prevention/country/en/index1.html. Accessed 1 Dec 2019
Lu L, Liu M, Sun R et al (2015) Myocardial infarction: symptoms and treatments. Cell Biochem Biophys 72:865–867
Rayabarapu N, Patel BM (2014) Beneficial role of tamoxifen in isoproterenol-induced myocardial infarction. Can J Physiol Pharmacol 92:849–857
Liu J, Wang H, Li J (2016) Inflammation and inflammatory cells in myocardial infarction and reperfusion injury: a double-edged sword. Clini Medi Insights Cardiol 10:79–84
Ong SB, Hernández-Reséndiz S, Crespo-Avilan GE et al (2018) Inflammation following acute myocardial infarction: multiple players, dynamic roles, and novel therapeutic opportunities. Pharmacol Ther 186:73–87
Szegezdi EV, Fitzgerald UN, Samali A (2003) Caspase-12 and ER-stress-mediated apoptosis: the story so far. Ann N Y Acad Sci 1010:186–194
Li P, Zhou L, Zhao T et al (2017) Caspase-9: structure, mechanisms and clinical application. Oncotarget 8:23996–24008
Maciejak A, Kostarska-Srokosz E, Gierlak W, Dluzniewski M, Kuch M, Marchel M, Opolski G, Kiliszek M, Matlak K, Dobrzycki S, Lukasik A (2018) Circulating miR-30a-5p as a prognostic biomarker of left ventricular dysfunction after acute myocardial infarction. Scienti Rep 8:9883
Lei P, Baysa A, Nebb HI et al (2013) Activation of Liver X receptors in the heart leads to accumulation of intracellular lipids and attenuation of ischemia–reperfusion injury. Basic Res Cardiol 108:323
Wang Y, Li C, Cheng K et al (2014) Activation of liver X receptor improves viability of adipose-derived mesenchymal stem cells to attenuate myocardial ischemia injury through TLR4/NF-κB and Keap-1/Nrf-2 signaling pathways. Antioxid Redox Signal 21:2543–2557
Ji Q, Zhao Y, Yuan A et al (2017) Deficiency of liver-X-receptor-α reduces glucose uptake and worsens post-myocardial infarction remodeling. Biochem Biophys Res Commun 488:489–495
Gulsin GS, Athithan L, McCann GP (2019) Diabetic cardiomyopathy: prevalence, determinants and potential treatments. Thera Adv Endocrinol Metabol 10:2042018819834869
Patel BM, Mehta AA (2013) Choice of anti-hypertensive agents in diabetic subjects. Diabetes Vascu Dis Res 10:385–396
Goyal BR, Mehta AA (2013) Diabetic cardiomyopathy: pathophysiological mechanisms and cardiac dysfuntion. Hum Exp Toxicol 32:571–590
Patel BM (2019) Histone deacetylase and oxidative stress: role in diabetic cardiomyopathy. In: Chakraborti S, Dhallan N, Ganguly N, Dikshit M (eds) Oxidative stress in heart disease. Springer, Singapore, pp 413–425
Jia G, Hill MA, Sowers JR (2018) Diabetic cardiomyopathy: an update of mechanisms contributing to this clinical entity. Circ Res 122:624–638
Patel BM, Goyal RK (2019) Liver and insulin resistance: new wine in old bottle!!! Eur J Pharmacol 862:172657
Pan J, Guleria RS, Zhu S, Baker KM (2014) Molecular mechanisms of retinoid receptors in diabetes-induced cardiac remodeling. J Clini Medi 3:566–594
Goyal BR, Mesariya P, Goyal RK, Mehta AA (2008) Effect of telmisartan on cardiovascular complications associated with streptozotocin diabetic rats. Mol Cell Biol 1;314(1–2):123–131
Goyal BR, Solanki N, Goyal RK, Mehta AA (2009) Investigation into the cardiac effects of spironolactone in the experimental model of type 1 diabetes. J Cardiovasc Pharmacol 54:502–509
Goyal BR, Parmar K, Goyal RK, Mehta AA (2011) Beneficial role of telmisartan on cardiovascular complications associated with STZ-induced type 2 diabetes in rats. Pharmacol Rep 63:956–966
Patel BM, Kakadiya J, Goyal RK, Mehta AA (2013) Effect of spironolactone on cardiovascular complications associated with type-2 diabetes in rats. Exp Clin Endocrinol Diabetes 121:441–447
Goyal BR, Patel MM, Bhadada SV (2011) Comparative evaluation of spironolactone, atenolol, metoprolol, ramipril and perindopril on diabetes induced cardiovascular complications in type 1 diabetes in rats. Int J Diabetes Metabol 19:11–18
Patel BM, Bhadada SV (2014) Type 2 diabetes-induced cardiovascular complications: comparative evaluation of spironolactone, atenolol, metoprolol, ramipril and perindopril. Clin Exp Hypertens 36:340–347
Raghunathan S, Tank P, Bhadada S, Patel B (2014) Evaluation of buspirone on streptozotocin induced type 1 diabetes and its associated complications. BioMed Res Int 2014: 2014.
Patel BM, Raghunathan S, Porwal U (2014) Cardioprotective effects of magnesium valproate in type 2 diabetes mellitus. Eur J Pharmacol 728:128–134
Rabadiya S, Bhadada S, Dudhrejiya A, Vaishnav D, Patel B (2018) Magnesium valproate ameliorates type 1 diabetes and cardiomyopathy in diabetic rats through estrogen receptors. Biomed Pharmacother 97:919–927
Ghosh N, Katare R (2018) Molecular mechanism of diabetic cardiomyopathy and modulation of microRNA function by synthetic oligonucleotides. Cardiovasc Diabetol 17:43
Hou N, Mai Y, Qiu X et al (2019) Carvacrol attenuates diabetic cardiomyopathy by modulating the PI3K/AKT/GLUT4 pathway in diabetic mice. Front Pharmacol 10:998
He Q, Pu J, Yuan A et al (2014) Liver X receptor agonist treatment attenuates cardiac dysfunction in type 2 diabetic db/db mice. Cardiovasc Diabetol 13:149
Harasiuk D, Baranowski M, Zabielski P et al (2016) Liver x receptor agonist to901317 prevents diacylglycerols accumulation in the heart of streptozotocin-diabetic rats. Cell Physiol Biochem 39:350–359
Cheng Y, Zhang D, Zhu M et al (2017) Liver X receptor α is targeted by microRNA-1 to inhibit cardiomyocyte apoptosis through a ROS-mediated mitochondrial pathway. Biochem Cell Biol 96:11–18
Cheng Y, Zhao W, Zhang X et al (2018) Downregulation of microRNA-1 attenuates glucose-induced apoptosis by regulating the liver X receptor α in cardiomyocytes. Experi Thera Medi 16:1814–1824
He Q, Wang F, Fan Y et al (2018) Differential effects of and mechanisms underlying the protection of cardiomyocytes by liver-X-receptor subtypes against high glucose stress-induced injury. Biochem Biophys Res Commun 503:1372
Semsarian C, Ingles J, Maron MS, Maron BJ (2015) New perspectives on the prevalence of hypertrophic cardiomyopathy. J Am Coll Cardiol 65:1249–1254
Cramariuc D, Gerdts E (2016) Epidemiology of left ventricular hypertrophy in hypertension: implications for the clinic. Expert Rev Cardiovasc Ther 14:915–926
Samak M, Fatullayev J, Sabashnikov A et al (2016) Cardiac hypertrophy: an introduction to molecular and cellular basis. Medi Sci Monitor Basic Res 22:75
Ma Z, Deng C, Hu W et al (2017) Liver X receptors and their agonists: targeting for cholesterol homeostasis and cardiovascular diseases. Curr Issues Mol Biol 22:41–64
Shimizu I, Minamino T (2016) Physiological and pathological cardiac hypertrophy. J Mol Cell Cardiol 97:245–262
Patel BM, Desai VJ (2014) Beneficial role of tamoxifen in experimentally induced cardiac hypertrophy. Pharmacol Rep 66:264–272
Raghunathan S, Goyal RK, Patel BM (2016) Selective inhibition of HDAC2 by magnesium valproate attenuates cardiac hypertrophy. Can J Physiol Pharmacol 95:260–267
Patel BM (2018) Sodium butyrate controls cardiac hypertrophy in experimental models of rats. Cardiovasc Toxicol 18:1–8
Sharma B, Chaube U, Patel BM (2019) Beneficial effect of Silymarin in pressure overload induced experimental cardiac hypertrophy. Cardiovasc Toxicol 19:23–35
Wu S, Yin R, Ernest R et al (2009) Liver X receptors are negative regulators of cardiac hypertrophy via suppressing NF-κB signalling. Cardiovasc Res 84:119–126
Kuipers I, Li J, Vreeswijk-Baudoin I et al (2010) Activation of liver X receptors with T0901317 attenuates cardiac hypertrophy in vivo. Eur J Heart Fail 12:1042–1050
Cannon MV, Yu H, Candido WM et al (2015) The liver X receptor agonist AZ876 protects against pathological cardiac hypertrophy and fibrosis without lipogenic side effects. Eur J Heart Fail 17:273–282
Cannon MV, Silljé HH, Sijbesma JW, Khan MA, Steffensen KR, van Gilst WH, de Boer RA (2016) LXRα improves myocardial glucose tolerance and reduces cardiac hypertrophy in a mouse model of obesity-induced type 2 diabetes. Diabetologia 59:634–643
Ma ZG, Yuan YP, Wu HM, Zhang X, Tang QZ (2018) Cardiac fibrosis: new insights into the pathogenesis. Int J Biolog Sci 14:1645
Bashey RI, Martinez-Hernandez A, Jimenez SA (1992) Isolation, characterization, and localization of cardiac collagen type VI. Associations with other extracellular matrix components. Circul Res 70:1006–1017
Hinderer S, Schenke-Layland K (2019) Cardiac fibrosis–a short review of causes and therapeutic strategies. Adv Drug Deliv Rev 146:77–82
Tian J, An X, Niu L (2017) Myocardial fibrosis in congenital and pediatric heart disease. Experi Ther Medi 13:1660–1664
Van Rooij E, Sutherland LB, Thatcher JE et al (2008) Dysregulation of microRNAs after myocardial infarction reveals a role of miR-29 in cardiac fibrosis. Proc Natl Acad Sci 105:13027–13032
Castrillo A, Joseph SB, Marathe C et al (2003) Liver X receptor-dependent repression of matrix metalloproteinase-9 expression in macrophages. J Biol Chem 278:10443–10449
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Masi, T., Goyal, R.K., Patel, B.M. (2020). Role of Liver X Receptor in Cardiovascular Diseases. In: Tappia, P.S., Bhullar, S.K., Dhalla, N.S. (eds) Biochemistry of Cardiovascular Dysfunction in Obesity. Advances in Biochemistry in Health and Disease, vol 20. Springer, Cham. https://doi.org/10.1007/978-3-030-47336-5_4
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